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General NPI Number Information
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NPI Number | 1881561702
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Entity Type | Organization
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Legal Business Name | KINDNESS AND KOMPASSION IN-HOME CARE
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Dates
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Enumeration Date | 10/23/2025
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 395 SAWGRASS WAY
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City | FAYETTEVILLE
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State | GA
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Zip | 30215-8093
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Country | US
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Telephone | 678-360-0126
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Fax |
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Provider Business Mailing Address
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Address Line | 395 SAWGRASS WAY
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City | FAYETTEVILLE
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State | GA
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Zip | 30215-8093
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Country | US
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Telephone | 678-360-0126
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | IRVONA BOULT
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Credential |
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Telephone | 678-360-0126
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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